Provider Demographics
NPI:1376065334
Name:KARAYANIDI, KATERYNA (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATERYNA
Middle Name:
Last Name:KARAYANIDI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 POND ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-5224
Mailing Address - Country:US
Mailing Address - Phone:203-685-5872
Mailing Address - Fax:
Practice Address - Street 1:15 CORPORATE DR STE 2-8
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1351
Practice Address - Country:US
Practice Address - Phone:203-452-7081
Practice Address - Fax:203-452-7089
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000592231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist